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1413 N Elm St Ste 106 Henderson KY 42420-2776 | |
| (812) 477-1560 | |
| (812) 477-1595 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1413 N Elm St Ste 106, Henderson, Kentucky |
| Authorized Official Name and Position | Cheryl Annette Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1510 Evansville IN 47706-1510 Ph: (812) 450-6815 | 1413 N Elm St Ste 106 Henderson KY 42420-2776 Ph: (812) 477-1560 |
| NPI Number | 1295480333 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295480333 | NPI | - | NPPES |
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